Individual provider Active NPI

Colin Jeffrey Zaporski, P.A.

  • Physician Assistant
  • West Bloomfield Towship, MI
National Provider Identifier
1003265661
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007744 Issued in MI
Practice address
6525 W Maple Rd
West Bloomfield Towship, MI 48323
Phone
(248) 854-1064
NPI assigned
Jun 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007744 MI Primary

Addresses

Primary practice location

6525 W Maple Rd
West Bloomfield Towship, MI 48323

Mailing address

26850 Providence Pkwy Ste 260
Novi, MI 48374-1256
Phone (248) 465-5140

Other practice location 1

26850 Providence Pkwy Ste 260
Novi, MI 48374-1256
Phone (248) 465-5140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622001191 MI Practitioner - Physician Assistant 5991096976 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007744MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jun 1, 2023 Accepting new patients
Henry Ford Health Providence Hospital Physician Assistant CurrentSince Jun 1, 2019 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jun 1, 2019 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jun 1, 2023 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

23874 Kean St
Dearborn, MI 48124
Phone (248) 465-5140

1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629

1225 S Latson Rd
Ste 380
Howell, MI 48843
Phone (248) 465-5140

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

26850 Providence Pkwy
Ste 260
Novi, MI 48374
Phone (248) 465-5140

210 N Lafayette St
South Lyon, MI 48178
Phone (248) 437-1744

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22250 Providence Dr
Fl 5
Southfield, MI 48075
Phone (248) 849-3441

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003265661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 260",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741256",
            "telephone_number": "248-465-5140",
            "fax_number": "248-465-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 W MAPLE RD",
            "city": "WEST BLOOMFIELD TOWSHIP",
            "state": "MI",
            "postal_code": "48323",
            "telephone_number": "248-854-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26850 Providence Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741256",
            "country_code": "US",
            "telephone_number": "248-465-5140",
            "fax_number": "248-465-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAPORSKI",
        "first_name": "COLIN",
        "middle_name": "JEFFREY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.